Individual provider Active NPI

Naomi Ward, ARNP

  • Community Health Nurse Practitioner
  • Deer Park, WA
National Provider Identifier
1639269533
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
AP30002106 Issued in WA
Practice address
401 S Main Ave
Deer Park, WA 99006-0000
Phone
(509) 434-0286
Fax
(509) 434-0286
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00098061 WA
Physician Assistant 363A00000X PA10002776 WA
Community Health Nurse Practitioner 363LC1500X AP30002106 WA Primary

Addresses

Primary practice location

401 S Main Ave
Deer Park, WA 99006-0000

Mailing address

203 N Washington St
Suite 300
Spokane, WA 99201-0233
Phone (509) 444-8888

Other identifiers 1

IdentifierTypeStateIssuer
8321853MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120813000779 WA Practitioner - Nurse Practitioner 8325111289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Washington PLLCGroup PAC ID 2264320837, 73 clinicians

Practice addresses (Care Compare)

309 E Farwell Rd
Spokane, WA 99218-8207
Phone (509) 474-9838

905 E D St
Deer Park, WA 99006-5167
Phone (509) 276-5005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10002776WAMDPhysician Assistant
AP30002106WAMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walla Walla Clinic, Inc. CurrentSince Jan 16, 2025 Accepting new patients
Privia Medical Group Washington, PLLC CurrentSince Jan 16, 2025 Accepting new patients
Tri-Cities Community Health Past Accepting new patients
Tri Cities Community Health Past Accepting new patients

Locations

309 E Farwell Rd
Ste 204
Spokane, WA 99218
Phone (509) 385-0600

55 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-3720

Interoperability endpoints

  • Direct secure messaging: naomi.ward.1@28594.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1639269533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N WASHINGTON ST",
            "address_2": "SUITE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010233",
            "telephone_number": "509-444-8888",
            "fax_number": "509-444-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN AVE",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990060000",
            "telephone_number": "509-434-0286",
            "fax_number": "509-434-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "NAOMI",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00098061",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10002776",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "WA",
            "license": "AP30002106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8321853",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, WA

Sources for this page

Verify at the official NPI Registry.